Provider Demographics
NPI:1750719795
Name:PARKER, ALANA
Entity type:Individual
Prefix:
First Name:ALANA
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALANA
Other - Middle Name:
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, BSN
Mailing Address - Street 1:1350 S LINDSAY RD
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85204-6229
Mailing Address - Country:US
Mailing Address - Phone:480-472-6678
Mailing Address - Fax:480-472-6698
Practice Address - Street 1:1350 S LINDSAY RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85204-6229
Practice Address - Country:US
Practice Address - Phone:480-472-6678
Practice Address - Fax:480-472-6698
Is Sole Proprietor?:No
Enumeration Date:2013-10-30
Last Update Date:2013-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN159267163WS0200X
AZSN1117163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool